50D2268782 CLIA NUMBER - HAZEL DELL ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 50D2268782
  • Facility Name: HAZEL DELL ASSISTED LIVING
  • Facility Address: 7514 NE 13TH AVE
    VANCOUVER, WA
    ZIP 98665
  • Facility Phone: 360 692-2402
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JONATHAN SU
  • NPI Number: 1447387626
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 50D2268782
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HAZEL DELL ASSISTED LIVING
Street 7514 NE 13TH AVE
City VANCOUVER
State WA
ZIP 98665
Phone 360 692-2402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2022
Certificate Expiration Date 4/4/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JONATHAN SU

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This page was last updated on: 9/29/2025